MEDICARE: DR. AKASH GARG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	D0095247	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	D0095247	OTHER	MD	MARYLAND DEPARTMENT OF HEALTH

General Provider Information

NPI Number	:	1033671615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AKASH GARG MD

Provider Business Mailing Address
First Line	:	4304 MOUNTAIN RD
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-4520
Country	:	US
Telephone Number	:	443-267-2953
Fax Number	:

Provider Business Practice Location Address
First Line	:	4304 MOUNTAIN RD
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-4520
Country	:	US
Telephone Number	:	410-360-2400
Fax Number	:	410-439-3342

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2019
Last Update Date	:	05/13/2024

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